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transduction pathways in this manner by altering ion homeostasis (Stoyanovsky, Murphy et<br />

al.1997; Xu, Eu et al. 1998).<br />

3.3.4 Reaction with amino acids<br />

<strong>The</strong> importance <strong>of</strong> the interaction <strong>of</strong> NO species with amino acids is exemplified by the<br />

reaction with tyrosine to form 3-nitrotyrosine. This reaction can severely compromise<br />

function <strong>of</strong> proteins with tyrosine residues in the active site, disrupting structure and activity<br />

@iserich, Patel et al. 1998). This reaction was first described in 1990 (Ohshima, Friesen et al.<br />

1990) and the level <strong>of</strong> 3-nitrotyrosine is now commonly used diagnostic marker <strong>of</strong> NO<br />

derived oxidants in both human disease states and animal models (Schmidt, H<strong>of</strong>mann et al.<br />

1996). An "overwhelming body <strong>of</strong> evidence has amassed in the last several years revealing<br />

that NO2Tyr (3-nitrotyrosine) is a reliable footprint <strong>of</strong> reactive nitrogen species production<br />

that spatially and temporally parallels tissue and cellular injury" @iserich, Patel et al. 1998).<br />

Although a direct relationship between 3-nitrotyrosine formation and pathological outcomes<br />

remains poorly characterised, it is dramatically elevated in diverse diseases such as<br />

atherosclerosis, sepsis, acute and chronic lung disease, neurodegenerative diseases,<br />

inflammatory bowel disease, chronic organ rejection, myocardial inflammation and tobacco<br />

smoking (Ischiropoulos, Zhu et al. 1992; Eiserich, Patel et al. 1998). <strong>The</strong> compound can be<br />

incorporated into tuberculin which disrupts the cell cytoskeleton @iserich, I{ristova et al.<br />

1998) and can attenuate adrenoreceptor agonists in vivo (Kooy and Royall 1994). <strong>The</strong><br />

formation <strong>of</strong> 3-nitrotyrosine is dependent on increased NO production and frequently<br />

associated with activated phagocytes (neutrophils, monocytes, eosinophils, macrophages). NO<br />

can also interact with amino acid radicals in proteins @iserich, Cross et al. 1996).<br />

3.3.5 Reaction with lipids.<br />

<strong>The</strong> reactive nitrogen species (NO, NO2, ONOO) also interacts with unsaturated lipids which<br />

leads to either initiation <strong>of</strong> oxidation, altering the rates and products <strong>of</strong> lipid oxidation<br />

products or inhibition (see below). For example, the unsaturated free fatty acids arachidonic<br />

acid and linoleate are substrates for the enzymatic synthesis <strong>of</strong> bioactive medicators such as<br />

prostaglandins and leukotrienes through the activities <strong>of</strong> lipo-oxygenases, cyclo-oxygenases<br />

and cyochrome Pa56. <strong>The</strong>se play a role in regulation <strong>of</strong> blood pressure, platelet aggregation,<br />

and bronchosconstriction. Free unsaturated lipids and those esterified to phospholipids are a<br />

significant component to biomembranes pulmonary surfactant and plasma lipoproteins.<br />

Uncontrolled oxidation as can be caused by NO and related species can lead to changes in<br />

integrity and fluidity <strong>of</strong> biomembranes. <strong>The</strong> interaction can also lead to the formation <strong>of</strong> other<br />

77

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